Abstract:
OBJECTIVE:To investigate whether early therapy with a novel robotic device can reduce motor impairment and enhance functional recovery of poststroke patients with hemiparetic and hemiplegic upper limb. DESIGN:A single-blind randomized controlled trial, with an 8-month follow-up. SETTING:Neurologic department and rehabilitation hospital. PARTICIPANTS:Thirty-five patients with acute (< or =1 wk of onset), unilateral, ischemic embolic, or thrombotic stroke. INTERVENTIONS:Patients of both groups received the same dose and length per day of standard poststroke multidisciplinary rehabilitation. Patients were randomly assigned to 2 groups. The experimental group (n=17) received additional early sensorimotor robotic training, 4 hours a week for 5 weeks; the control group (n=18) was exposed to the robotic device, 30 minutes a week, twice a week, but the exercises were performed with the unimpaired upper limb. Training by robot consisted of peripheral manipulation of the shoulder and elbow of the impaired limb, correlated with visual stimuli. MAIN OUTCOME MEASURES:The Fugl-Meyer Assessment (FMA) of upper-extremity function (shoulder/elbow and coordination and wrist/hand subsections) to measure each trained limb segment; the Medical Research Council (MRC) score to measure the strength of muscle force during 3 actions: shoulder abduction (MRC deltoid), elbow flexion (MRC biceps), and wrist flexion (MRC wrist flexors); the FIM instrument and its motor component; and the Trunk Control Test (TCT) and Modified Ashworth Scale (MAS). RESULTS:Compared with the patients in the control group, the experimental group showed significant gains in motor impairment and functional recovery of the upper limb after robot therapy, as measured by the MRC deltoid (P< or =.05) and biceps (P<.05) scores, the FMA for the proximal upper arm (P<.05), the FIM instrument (P<.05), and the FIM motor score (P<.01); these gains were also sustained at the 3- and 8-month follow-up. The FMA and MRC wrist flexor test findings did not differ statistically either at the end of training or at the follow-up sessions. We found no significant differences in MAS and TCT in either group in any of the evaluations. No adverse effects occurred and the robotic approach was very well accepted. CONCLUSIONS:Patients who received robotic therapy in addition to conventional therapy showed greater reductions in motor impairment and improvements in functional abilities. Robotic therapy may therefore effectively complement standard rehabilitation from the start, by providing therapeutic support for patients with poststroke plegic and paretic upper limb.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Masiero S,Celia A,Rosati G,Armani Mdoi
10.1016/j.apmr.2006.10.032subject
Has Abstractpub_date
2007-02-01 00:00:00pages
142-9issue
2eissn
0003-9993issn
1532-821Xpii
S0003-9993(06)01482-1journal_volume
88pub_type
杂志文章,随机对照试验abstract:OBJECTIVE:To determine the influence of a warm-up protocol suitable for use in clinical settings on tibial displacement and muscle activity during arthrometric knee laxity assessment. DESIGN:Intervention study in which the subjects served as their own controls. SETTING:The Biomechanics Research Laboratory, University...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(99)90235-6
更新日期:1999-07-01 00:00:00
abstract:OBJECTIVES:To evaluate fall risk in stroke patients based on single- and dual-task gait analyses, and to investigate the difference between 2 cognitive tasks in the dual-task paradigm. DESIGN:Prospective cohort study. SETTING:Rehabilitation hospitals. PARTICIPANTS:Subacute stroke patients (N=32), able to walk withou...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2012.11.023
更新日期:2013-04-01 00:00:00
abstract::To determine if reproducible and reliable measurements of intra-articular temperature could be performed in an animal model, surface and intra-articular measurements were studied in 30 rabbits. Anterior insertion of a thermometer probe into the joint cavity was found to be a reliable method for measuring intra-articul...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1983-03-01 00:00:00
abstract::Spastic contractures are a common problem which frequently requires the use of splinting or casting. Customized adjustable orthoses can reduce contractures without the problems often associated with these procedures. These devices reduced contractures in a head-injured patient's severely spastic wrist and ankles. As a...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1985-06-01 00:00:00
abstract:OBJECTIVE:To examine racial differences in poststroke rehabilitation utilization and functional outcomes. DESIGN:Observational follow-up study. SETTING:Designated stroke center. PARTICIPANTS:Stroke survivors (N=162; 106 whites and 56 blacks) surveyed at 1 year poststroke. INTERVENTION:Not applicable. MAIN OUTCOME ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2014.08.018
更新日期:2015-01-01 00:00:00
abstract::The effect of ultrasound on the fixation of 3-hole AO plates on the femur and humerus in dogs was investigated. Four weeks postoperatively the screws were loosened by a torque (kg/cm) that averaged one-third of the inserted torque. The removal torque of screws exposed to ultrasound tended to be lower than that of unex...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1982-08-01 00:00:00
abstract:OBJECTIVES:To examine the convergent validity, sensitivity to change, floor and ceiling effects of the Community Balance and Mobility Scale (CB&M) in community-dwelling stroke survivors. The secondary objective was to determine the correlations between the CB&M and lower-limb motor recovery and strength. DESIGN:Validi...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1016/j.apmr.2010.02.010
更新日期:2010-06-01 00:00:00
abstract:OBJECTIVE:To determine the effectiveness of an ankle-foot orthosis (AFO) on mobility, walking, and balance in people with stroke. DATA SOURCES:The following databases were searched from inception to November 2011: Cochrane Stroke, Movement Disorders and Injuries Groups, MEDLINE, Embase, CINAHL, AMED, PsycINFO, and the...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.apmr.2012.12.025
更新日期:2013-07-01 00:00:00
abstract:OBJECTIVE:To examine the perspective of survivors of traumatic brain injury (TBI) regarding the extent and nature of their recovery over time. DESIGN:Inception cohort, longitudinal study. SETTING:Level I trauma center. PARTICIPANTS:One hundred fifty-seven consecutively hospitalized individuals with TBI (mean age, 36...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2001.25082
更新日期:2001-08-01 00:00:00
abstract:OBJECTIVES:To explore and quantify the physical and functional effects of stabilizing the torso with electrical stimulation of the paralyzed hip and trunk musculature after motor complete tetraplegia. DESIGN:Single-subject case study with repeated measures and concurrent controls. SETTING:Academic outpatient rehabili...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2008.07.029
更新日期:2009-02-01 00:00:00
abstract::Based on the author's experience with more than 20 cases of immobilization hypercalcemia following spinal cord injury, current concepts of this condition are presented. Symptoms may be mild or severe: laboratory findings are essential for differential diagnosis in older individuals, in whom preinjury Paget's disease a...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1986-01-01 00:00:00
abstract:OBJECTIVE:To develop a procedure that adjusts scoring of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) for the items related to spinal cord injury (SCI) that skew interpretations with this population, and to assess the accuracy of interpretations resulting from this procedure, standard MMPI-2 scoring, and ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2000.6287
更新日期:2000-09-01 00:00:00
abstract:OBJECTIVE:To determine outcomes of surviving patients who underwent transfemoral amputation as part of treatment for lower extremity malignancy at a mean 15 years postoperatively, with a minimum 2-year follow-up. DESIGN:Retrospective, case control. SETTING:Tertiary care university medical center. PATIENTS:Thirty-fiv...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2002.27461
更新日期:2002-02-01 00:00:00
abstract::Quantification of cervical extension (CERV EXT) strength is complicated by the inability to stabilize the torso and isolate the CERV EXT muscles. A newly developed machine designed to stabilize the torso and isolate the CERV EXT muscles was used to evaluate the effect of frequency and volume of resistance training on ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/0003-9993(93)90065-i
更新日期:1993-10-01 00:00:00
abstract::This study examined the extent of kinematic symmetry of lower limbs when walking. Twelve able-bodied subjects were measured with a device which recorded three-dimensional motion of hip and knee joints bilaterally. Comparisons of right and left sagittal, transverse, and coronal plane motions were conducted in the time ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1984-04-01 00:00:00
abstract::The purpose of the study was to evaluate the differences in the amplitudes of the compound muscle action potentials of the hypothenar muscles and the differences in conduction times. Differences in shoot segment responses were determined by stimulating the ulnar nerve at 2-cm intervals across the elbow in 20 normal ad...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1988-11-01 00:00:00
abstract:OBJECTIVE:To explore the association between demographic factors and functional performance measures of patients with acute stroke in an inpatient rehabilitation facility (IRF) and falls during the IRF stay and to quantify the diagnostic accuracy of functional outcome measures in identifying fallers. DESIGN:Retrospect...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2019.05.026
更新日期:2019-11-01 00:00:00
abstract:UNLABELLED:This self-directed learning module highlights various cumulative trauma disorders of the upper limb that may be seen in computer users. The biomechanics and ergonomics of computer users are addressed in relationship to specific neurologic and musculoskeletal conditions within the neck and upper limbs. In add...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:10.1053/apmr.2002.32144
更新日期:2002-03-01 00:00:00
abstract:OBJECTIVE:To describe in-line skating interests and practices, protective gear usage, and injury patterns in a population-based group of in-line skaters. DESIGN:A two-page questionnaire with multiple choice questions and one write-in response question. PARTICIPANTS:The survey was sent to 1,000 members of an in-line s...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(97)90309-9
更新日期:1997-12-01 00:00:00
abstract:OBJECTIVE:To determine whether family functioning is uniquely associated with caregiver depressive symptoms in the immediate aftermath of stroke. DESIGN:Cross-sectional data from the baseline assessment of an intervention study for stroke survivors and their families. SETTING:Neurology inpatient service of a large ur...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2008.12.014
更新日期:2009-06-01 00:00:00
abstract::Two advanced magnetic resonance neuroimaging techniques, functional magnetic resonance imaging (fMRI) and diffusion tensor imaging (DTI), have recently made their way into clinically oriented research and hold great promise to study the brain's adaptive changes of function and structure after aphasic stroke, respectiv...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:10.1016/j.apmr.2011.02.023
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVES:To determine which outcome measures are best and least suited for assessing long-term functional outcome of individuals with traumatic brain injury (TBI) in the community. DESIGN:Survey of participants in the community an average of 5 years after TBI. A battery of outcome measures was given. SETTING:Commun...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2001.21525
更新日期:2001-03-01 00:00:00
abstract:OBJECTIVE:To investigate patient preference, walking speed, and prosthetic use in a geriatric population with transfemoral amputation using a free-swinging prosthetic knee or a locked knee joint. DESIGN:Before-after trial. SETTING:Ambulatory patients at an amputee rehabilitation facility. PARTICIPANTS:A convenience ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1053/apmr.2002.27464
更新日期:2002-02-01 00:00:00
abstract:OBJECTIVE:To develop and test a new instrument to assess environmental barriers encountered by people with and without disabilities by using a questionnaire format. DESIGN:New instrument development. SETTING:A rehabilitation hospital and community. PARTICIPANTS:Two convenience samples: (1) 97 subjects, 50 with disab...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2003.09.027
更新日期:2004-08-01 00:00:00
abstract:OBJECTIVE:To investigate the effects of a late-phase exercise program for patients who underwent total hip arthroplasty (THA) 4 to 12 months earlier. DESIGN:A single-blind, randomized controlled trial. SETTING:Exercises were performed in subjects' homes. Exercise instruction and measurements taken before and after th...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/j.apmr.2003.11.022
更新日期:2004-07-01 00:00:00
abstract:OBJECTIVE:To investigate the extent to which neuropsychologic and functional outcome after complicated mild traumatic brain injury (TBI) parallels that of moderate TBI recovery. DESIGN:A longitudinal study comparing neuropsychologic and functional status of persons with complicated mild TBI and moderate TBI at dischar...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2007.12.029
更新日期:2008-05-01 00:00:00
abstract:OBJECTIVE:To examine the effects of communication skills training on physiotherapists' supportive behavior during clinical practice. DESIGN:Randomized trial. SETTING:Hospital outpatient physiotherapy clinics. PARTICIPANTS:Physiotherapists (N=24) and patients (N=24) with chronic low back pain. INTERVENTIONS:Two hosp...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.apmr.2014.11.007
更新日期:2015-05-01 00:00:00
abstract:OBJECTIVE:To investigate the postural alignment of the upper body in the sagittal plane during sitting and standing postures as pregnancy progressed and then in the postpartum period. DESIGN:Longitudinal, repeated-measures design. SETTING:Biomechanics laboratory in an Australian university. PARTICIPANTS:A volunteer ...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1053/apmr.2002.36069
更新日期:2002-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Patients with low back pain are often administered a Functional Capacity Evaluation (FCE) to determine levels of physical functioning at the conclusion of their rehabilitation program. The purpose of this study was to examine the relationship between psychological factors (ie, self-reported disab...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(96)90161-6
更新日期:1996-02-01 00:00:00
abstract:OBJECTIVE:To investigate the effect of ultrasound on the levels of stress protein in experimental arthritis and their relation to the therapeutic effects on arthritic cartilage repair. METHODS:Thirty-six rats with similar degree of early arthritis were divided at random into two groups. In group s, 18 rats received so...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(99)90198-3
更新日期:1999-05-01 00:00:00